Insurance/Employee Benefits Committee

Group Memory

Mt. San Antonio College

Employee Benefits - Insurance Committee

Group Memory ofFebruary 13, 2018

Committee Members:
Duetta Langevin, Co-Chair
Sokha Song, Co-Chair
Jennifer Galbraith
Catherine McKee
Vicki Greco / Barbara Quinn
Brigitte Hebert
Elizabeth Jauregui
Zak Gallegos
George Gutierrez / Peter Gonzales
Melissa Aguirre
Norma Vizcarra
Richard Lee / Yadira Santiago (notes)
ITEM / DISCUSSION/COMMENTS / ACTION/OUTCOME
1.Welcome/Introductions / Richard Lee chaired today’s meeting.
Committee Member changes: Peter Gonzales - additional Unit 651 representative added to the committee after the December meeting. /
  • None

2. Agenda Review / Members received a printed copy. /
  • Agenda approved.

3. Review Meeting Notes from December 12, 2017 / Members received a printed copy. /
  • Memory approved.

4.SISC presentation / Nicole Henry and Armando Cabrera of Self-Insured Schools of California (SISC) conducted an interactivefollow-up detailed presentation.
Handouts provided:
HMO (Full Network) Plans
HMO (Select Network) Plans
PPO (Full Network) Plans
PPO (Select Network) Plans
The SISC III Transition
SISC’s Value-Added Services
  • Full Network = access to ALL network providers. You must select a Primary Care Physician or one is selected for you.
  • Select Network = access to physicians in a subset network of the providers. Pomona Valley Medical Group and St. Jude are not in the Select Network.
  • Out-of-Pocket Max = the maximum amount you will be responsible for annually. First figure is individual max/second figure is family max.
  • HMO plans have $0 Individual/Family deductible. Specialists are referred by your physician.
  • PPO plans have an Individual/Family deductible. Specialists are self-referred. Co-pays do not count towards the deductible.
  • Medical plan options can be combined with any prescription/pharmacy plan options.
  • Prescriptions filled at Costco are $0. Generic 90-day mail order supply is also free through Costco mail. You DO NOT need to be a Costco member to have your prescriptions filled at a Costco pharmacy.
  • Prescriptions can be filled at any network pharmacy except for Walgreens pharmacy, they are not in the network of providers.
  • Definition of a “custom”plan design option-SISC provides a set menu of medical plan options.Each bargaining unit can customize their medical and prescription plans, meaning each bargaining unit can pick a different optionfrom the set menu of options that SISC provides.
  • How does double insurance/dual coverage work? Technically, the provider can still collect the co-pay, most likely they will not collect the co-pay, due to the provider receiving capitation for the members.
/
  • Peter Gonzales, of Unit 651, would like SISC to come out and do a presentation with all of the members of Unit 651. HR will coordinate.
  • Zak asked if SISC could send HR the Bronze plan information for the committee to review.
  • Composite rate has been given to HR by SISC. That information will be emailed to the committee members.

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